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HomeMy WebLinkAbout48056-Z ��O�og�fFatkcoGy Town of Southold 8/24/2023 o �z P.O.Box 1179 } 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44480 Date: 8/24/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2710 Hyatt Rd, Southold SCTM#: 473889 Sec/Block/Lot: 54.-1-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/9/2022 pursuant to which Building Permit No. 48056 dated 7/12/2022 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as built"alterations, including HVAC mini split and den conversion to bedroom,to existing single family dwelling as gpplied for. The certificate is issued to Rich,Jonathan&Leaver,Katherine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48056 8/16/2023 PLUMBERS CERTIFICATION DATED (Alo z d Signature I o�SUF�nt TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 48056 Date: 7/12/2022 Permission is hereby granted to: Rich, Jonathan 532 9th St#2 Brooklyn, NY 11215 To: legalize an "as built" mini split unit and to convert an existing den to a bedroom in an existing single-family dwelling as applied for. At premises located at: 2710 Hyatt Rd, Southold SCTM #473889 Sec/Block/Lot# 54.-1-14 Pursuant to application dated 6/9/2022 and approved by the Building Inspector. To expire on 1/11/2024. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $400.00 CO-ALTERATION TO DWELLING $50.00 Total: $450.00 Building Inspector oF so�ryQl � o Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 iQ sean.devlin(.3-town.southold.ny.us Southold,NY 11971-0959 Q�yOUM(`I,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Jonathan Rich Address: 2710 Hyatt Rd City:Southold st: NY zip: 11971 Building Permit#: 48056 Section: 54 Block: 1 Lot: 14 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: Electrician: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower 3 Range Recpt Ceiling Fan Combo Smoke/CO 6 Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors Disconnect Switches 4'LED Exit Fixtures Sump Pump Other Equipment: Minisplit w/Three Blower Heads Notes: HVAC Inspector Signature: Date: August 16, 2023 S.Devlin-Cert Electrical Compliance Form OF SOGIyO� f # TOWN OF SOUTHOLD BUILDIN DEPT. °`ycouKty��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 5 1-- -�—f td�_ DATE INSPECTOR FIELD INSPECTION.REPORT DATE COMMENTS 0 ro FOUNDATION (1ST) D 00--3 ------------------------------------ FOUNDATION (2ND) 1-3 ROUGH FRAMING& PLUMBING Z7 r INSULATION PER N.Y. STATE ENERGY CODE Do Z FINAL PON ADDITIONAL COMMENTS c loa305v Cd r� cid y o A, Z s o a � y I i fFBI/C*c�G TOWN OF SOUTHOLD—BUILDING DEPARTMENT N x Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 https://www.southoldtomm.gov Date Received APPLICATION FOR BUILDING PERMIT ,For Office Use Only (� I s 1`J� � �C I I r' PERMIT NO. Building Inspector: JUN O g 2022 Application's and forms must be filled out in.their entirety. Incomplete BUILUINI=,i�r�. .applications will not be accepted. Where the Applicant is not the owner,an TOWN OF SOUTHOLD Owner's Authorization form(Page 2)shall be completed. Date: (p l9 I2oL2_ OWNER(S) OF PROPERTY: Name: scTM#1000- 5y Project Address: 1410 t4, j.} P1 AJ Phone#: -:.gi y06 -gLAJ S Email: '--w A=c H ;�8 @ MC." row, Mailing AddI.ressya++ ... CONTACT PERSON: Name: J0V1--0.4h Mailing Address: Phone#: Emall: DESIGN PROFESSIONAL INFORMATION: Name: 1,1„ Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name: -- Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition 4 M44 rd Estimated Cost of Project: 21 they ;n7 5 h'4 HVaC Ins Fulled /0y I prj'af- owner b1G) Will the lot be re-graded? ❑Yes 2No Will excess fill '- removed from premises? ❑Yes ENO �u;j ►�su - Mode) xrD' � 1 PROPERTY INFORMATION . S�„ /e Existing use of property: Si,,�le 'ccm,./ ;6r v_ Intended use of property: FG#hi/y /.k h+e t J e/ra-a - Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to this property? ❑Yes No IF YES, PROVIDE A COPY. C"Check Box After Reading: The owner/contractor/de"sign-professional is responsible for all drainage and storm water issues as provided by Chapter 236 of the Town Cade. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other,applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal,or demolition.as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises-and in building(s)for necessary inspections.False statements made herein are .punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name): Jo+�-tva., )Z;c 1, ❑Authorized Agent Dbwner Signature of Applicant: - Date: 6/9/202Z STATE OF NEW YORK) SS: COUNTY OF 5WTO ) JoGn han 11` c I being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the O ujc'e r (Contractor,Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this `+ day of 0 DOC, , 20 Notary Public 'rRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK PROPERTY OWNER AUTHORIZATION NO.IN SUFFOLK QUALIFIED N SUFFCOUNTY (Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30, I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Suffolk County Department of Health Services Office of Wasteivater Management 360 Yaphankkvenuc,Suite 2C Yaphank,New York 11980 (631)852-5700 OR UealthWWM@suft6Ikeountyny.Pv CERTIFICATION OF SEWAGE DISPOSAL SYSTEM ABANDONMENT Health Department Reference Number: A Suffolk Tax Map#: Dist: '000 Sect(s) 54 Blk,(s) I Lot(s) I Project Name or Address: V10 &vi&.1.1 NY 1041 Subdivision Name&Lot 9 Applicant Name: Jv,"644� 1 HEREBY CERTIFY THAT: 1. The first septic tank/leachings pool,from the foundation,was located and uncovered,AND 2. If liquid sewage was noted therein,was pumped dry by a licensed sewage hauler,AND 3. Tankipool was inspected for outlet line to an overflow pool,AND 4. Overflow pool(s) was/were located, uncovered and items 92 and #3 were repeated until all parts of sanitary system were located,AND S. All parts of sanitary system were removed or Filled with clean backfill and any corbelled block domes collapsed. I also certif},that the sanitary system abandoned consisted of- 5 k ( )other First tank/pool feet diameter feet deep( )precast (415-1c�( First overflow pool Ifeet diameter feet deep( )precast (A4)o"ck other, Next overflow pool feet diameter feet deep( )precast ( )block Next overflow pool_feet diameter feet deep( )precast ( )block )other Company which pumped out sanitary sntem if different in certifying company: 0— Name of Company: 1F-VVF"VJ Address: Consumer Affairs License Number: Contractor Signature:'�/�A-1-9 Date V- 2./ Print Name/ ompany: -3 04:51 Addres! :;�-" Consumer Affairs License Number This certification shall not be used in lieu of inspections required by personnel of the Department and inav bg duplicated on company letterhead,provided it contains the above information. PROU)COPIES OF DOCUMENTS WILL NOT HE ACCEPTED WWM-080 (Rev.02/12) IV SuffOlk CQUOky ftallmwl OF fleald,Stnices oft -e of Wastewaftr Nunawment. 360 Varilwak A%caue.Suite X VaphnnJ6 Now Vorh I IM (631)&Q-000 OR CERTIFICATION OF SEWAGE DISPOSAL SYSTEM BY INSTALLER Leave blank any items that are Not applicable go the installation. **A LgEale dig vd,fal Mqieut Lketch ulnare with location r"asuremeng ft"I W IMV-1 two haildbw cnrttea gMgEjMZided ott the back,ff an a lawrale.Thed trod attached to this tarot** Health Department Reference Number #'gZ- iq 3 Suffolk Tax Map#.-Dist:1 /000 Sect(s) '54 8149) 1 Logs) 11 Project Name or Address,_ �iO V)yat-t Ro&4 QA./J NY Applicant/Homeowner Name: -J4wf6;? Riel. Date of System Installation: 49..7 1 IIA OWTS TREATMENT UNIT (-SEPTIC TANK 'C Make and Model: Volume(gallons): Volume 9 Rated Daily Treatment Capacity(gallons): Material: ilkoncrete, Fiberglass/1`4sti Material; Concrete Fiberglass/Plastic Shape: Rectangular. Cylindrical Top: Slab,m M —\�'TN iL DISTRIBUTION LEACHING POOLS(If applicable) Top: ] Slab,k-'Iraiffic Slab, D e Number of Pools e of Tank Manufacturer: Diameter and Effective Depth GRE R Top: []Slab [I Traffic,Slab Dome Volume(gallons): Name oQ-reeast7MMq–WU Material: [lConcrete. [JFibergI2ssJPlastic Top: []Slab,[J Traffic Slab, Dome LEAI�CHIAIG POOL&UALLEYS Name of Tank Manufacomw- otal Number of Pools/Galleys 24— Diameter/D' JOT THERLEACIIINGSTRUCTURES Wensions and Effective Depth I JOT Top: Make and Made[(if applicable): op: folab ]Traffic Slab []N/A ti e of Precast Manu Total Linear Feet of Leaching Structure(s): COVERSANDLIDS Installed co�ws comply with current standards(secondary safety device installed if cover weight less than 60lbs.) [VfYes []N/A I hereby cenify dwl the sabsurface sm%ttp disposal system components described herein,heave been instWled by=in accordance with the approved plots mid/or standards ofthe Suff-alkC00MY rieVanad of HL-m-fth services as ttell as any otherrmuticiptA rWnL-y rzquirunwau;md any and all mechanicallerlectricaf news have bkn tested and=mxrmional in accordance with manufactures m-coroncadations. Installer's -- I— Signature:�a&,i Af- Date e, &-4l — L — — -- Installer's Name: eaQT Company Name: Phon Company Address: 7–B., Consumer Affairs Liquid Waste License Number and endomment(s)- "INADDITION TO ABOVE,COMPLETE BELOW FOR SANIFAR VREPL4CEKENT1REIR0FJT2A1L In addition to the,above information,I hereby catifY that this OWYS replOcenmit Of mVorat mccis the DeTztmcnt RcphtcemcnVkqror11 Standards„and that other altartualves.are not envie itmentally f4asibLu. I also certify that this 0147S rephimmcnt or rutrofist htsUlation represents an improvement to existing up-d asal System condition-Z. A49 "0 Installer's Signature: Alf & OF Installer's Name: THIS DOCUMENT MUST CONTMN ORIGI[NAL SIGNATURES F*ROM THE LWYALLER WWW079(ON19) 4& Sem 5vrvey 4r D���d;.ng ftrnecT (, e*t pe`jc) �O��g�FfO���oGy BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD C* z Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 oy'Jj� ao�� Telephone (631) 765-1802 - FAX (631) 765-9502 1 ' rogerr(aD,southoldtownny.gov - sea nd(cD-southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: q zoz2 Company Name: AD WuMev Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: R;c\. Address: z--io 1414++ Road S ,a Nv li93-I Cross Street: Phone No.: 132 yc6 £:4951 Bldg.Permit#: Y�0� email: Tax Map District: 1000 Section: 5N Block: / Lot: 1 y BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): N++n� Spl.-f NVAc -I-4Ad+ wai done by Proof pwnef aF' {eua� Mode-1 No. AoU2yRt-.CF2 (Fuji+sv) scr;ej No. tuM /oygb/ rSquare Footage: Circle All That Apply: Is job ready for inspection?: ❑✓ YES ❑ NO ❑Rough In Final Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 PhF-]3 Ph Size: A # Meters Old Meter# ❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals F711 2 H Frame Pole Work done on Service? Y RN Additional Information: PAYMENT DUE WITH APPLICATION lo�� �QL BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD y Town Hall Annex - 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 rogerrAsoutholdtownny.gov - sea nd(c_southoldtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: 61gl2ozz Company Name: Electrician's Name: License No.: Elec. email: Elec. Phone No: ❑I request an email copy'of Certificate of Compliance Elec. Address.: JOB SITE INFORMATION (All Information Required) Name: Address: z-*to Cross Street: Phone No.: -I3z qob �qqg Bldg.Permit#: email: Tax Map District: 1000 Section: 5N Block: / Lot: I y BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): Miw, spl;+ HVAC -1-�a+ W.j ao,2 by PP;or Owr+ef �euse ModeA No. N0U2yPQ<F2— (Fuj+5V) Scar;el No. LVIV Idy9b/ F Square Footage: Circle All That Apply: Is job ready for inspection?: YES ❑ NO ❑Rough In aFinal Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On Temp Information: (All information required) Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter# El New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead # Underground Laterals 1 2 0 H Frame M Pole Work done on Service? D Y N Additional Information: PAYMENT DUE WITH APPLICATION `�1 PERMIT# Address: Switches Outlets GFI's . -Surface r Sconces H H's UC Lts Fans Fridge HW Exhaust - Oven Dryer Smoks DW Service Carbon . Micro: Generator: Combo Cooktop Transfer AC ( ��H Mini 1 Special: Comments: � JUL 1 8 9n99 Jonathan Rich BUILDING DEPT. 2710 Hyatt Road TOWN OF SOUTHOLD Southold, NY 11971 To Whom It May Concern: The enclosed check is for the building permit and electrical inspection due for 2710 Hyatt Road in Southold. Please give me a call with any questions at 732-406-8498. Best, �p�h G Q$ D Q91E i 2G21 C 2 21-1019 T?2E°`' OF RIGl1T5 OF YIAY UNIUTHOR=ALTERATION OR ADDITION AND/OR FASEU01M OF RECORD IF TO THIS SURVEY IS A VIOLATION OF ANY.NOT SHOLYN ARE NOT GUARANTEED. SECTION 7308 OF THE NEW YORK STATE EDUCATION LAW. Area= 116,171,210a sf. COPIES OF THIS SURVEY W NOT BFARGND THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED Premises known aS: TO D£A VAUD TRUE COPY. g GUARANTEES INa1CA1ED NEREON SNAU.RUN g 2710 ffygtt Road, Southold ONLY To Tx£IPTG N FDR mxpk THE SUM" �® IS PREPARED,AND ON Na BEHALF TD THE iT TITLE COWANY,GOVERNL ENTAL AGENCY AND t LEND'NO INSTITUTION LISTED HMTOK AND O S` TO THE ASSIGNEES OF TWE LENDING INSR- yp� Nut T� CUA-N=•CUAAR£N47 TRANSFERABLE,s0 40 1?Q66, gzw �{ ry lA WOO1SWq ptv 206 o a�C = D o US 127 23xIre — 1483°20'00" x x-.V—ktg5 4W OR7 —7 d'e Imm I,1$ Lut ?4 a.V st- BAR rPEL tri`O G 4 r Ceriifled to: m•. o JONATHAN RICH ANO KATHERINE LEAVERa4A1VI7 061 SVS Survey of Described property INVESIM BANK,LOAN/202110158511 'MM NAWIML 118.E INSI1NCE SERVICES situate at (07405-11000S) Southold Town of Southold Michael W. Minto, L.S.P.C. Suffolk County, New York LICENSED PROFESSIONAL LAND SURVEYOR NEW YORK STATE LICENSE NUMBER 050871 District 1000 Section 54 Block 1 Lot 14 e7oems Lane entereechcli, N.Y. 11720 Scale 1"= 20' Surveyed December 7, 2021 C PHONE/FAX: (631) SBO-1202 GRAPHIC SCALE CELLULAR: (631) 766-9714 23 0 10 20 40 w EMAIL: m(kamtntolapeagmalcom 1 inch = 20 [L hAP6VEID AS NOTED DATB.P.# FEE: BY: NOTIFY BUILDING F;_-4RTMENT AT 765-1802. 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ELECTRICAL 1. FOUNDATION - TWO REQUIRED INSPECTION REQUIRED FOR POURED CONCRETE 2. ROUGH -' FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONST L' -TION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF io,_e TemRA NHOARD T --_1 HOLDTOWRMSTEES Y.S{� DEQ OCCUPANCTY OR USE IS UNLAW:FU_L WITII.QUT CERTIFICV OF OCCUPANCY Floor Plans 2710 Hyatt Road Southold, NY. Drawing not to scale l Closet C Shower Bedroom#1 DX in O Bathroom Bedroom#2 #1 0 � SvNoc�e } Carp on rnonotdd a Hall Bathroom#2 Closet sdg t- 66r Kitchen Living Room Enclosed Porch Hyatt Road AOU24RLXFZ:Multi Zone(2 to 5 Zones)-HalcyonTM MULTI-RO... https://www.fujitsugeneral.com/us/Products/multi/2-3-4rooms/aou24r... PRODUCTS SERVICE&SUPPORT COMPANY LOCATE A CONTRACTOR Halcyon'MULTI-ROOM MINI-SPLIT SYSTEMS Multi Zone(2 to 5 Zones) Hybrid Flex Inverter AOU24RLXFZ _ a� ►-HFI Hybrld Flex Inverter Features . Individual Zoning • Inverter Technology • 4 indoor unit styles to choose from:wall mount,cassette,floor mount and slim duct rUiitsU { I . 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